Individual provider Active NPI

Amy Howard Russell, MD

  • Family Medicine Physician
  • Asheville, NC
National Provider Identifier
1336137652
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-00045 Issued in NC
Practice address
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 257-4730
Fax
(828) 257-4738
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36476 CO
Family Medicine Physician 207Q00000X 2013-00045 NC Primary

Addresses

Primary practice location

123 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4725

Other identifiers 2

IdentifierTypeStateIssuer
1336137652MedicaidNC
33807744MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000435 NC Practitioner - Family Practice 5496758807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Area Health Education Center IncGroup PAC ID 0143206599, 156 clinicians

Practice addresses (Care Compare)

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5500

121 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4730

123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-3500

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36476COMDFamily Medicine Physician
2013-00045NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Health Education Center, Inc. Family Medicine Current Accepting new patients
Mountain Area Health Education Center, Inc. CurrentSince Apr 22, 2013 Accepting new patients

Locations

218 Elkwood Ave
Ste 102
Asheville, NC 28804
Phone (828) 257-4747

19 N Ann St
Asheville, NC 28801
Phone (828) 252-8883

125 Hendersonville Rd
Asheville, NC 28803
Phone (828) 579-2100

600 Barrett Ln
Asheville, NC 28803
Phone (828) 271-6946

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

119 Hendersonville Rd
Biltmore Forest, NC 28803
Phone (828) 771-5500

87 Medical Park Dr
Ste B
Brevard, NC 28712
Phone (828) 547-3004

25 Westridge Market Pl
Candler, NC 28715
Phone (443) 865-4662

1542 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 628-8250

56 Medical Park Dr
Franklin, NC 28734
Phone (828) 349-8280

5623 US 221 S
Marion, NC 28752
Phone (828) 659-9000

Interoperability endpoints

  • Direct secure messaging: amyrussell@mahec.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1336137652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4725",
            "fax_number": "828-232-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730",
            "fax_number": "828-257-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "AMY",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36476",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-00045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336137652",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33807744",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.